Maitemogelo Consultancy - Products
GAP Cover Benefits
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Packages:
In-Hospital GAP 500 - Gap 500 covers the client for specialist shortfalls incurred as an in-hospital patient. The benefit is limited to 5 times (500%) the Medical Scheme Tariff.
Underwriting Criteria: 3 Month general waiting period; 12 Month pre-existing condition exclusion; Maximum age of entry 65
In-Hospital GAP 500 Senior - Gap 500 covers the client for specialist shortfalls incurred as an in-hospital patient. The benefit is limited to 5 times (500%) the Medical Scheme Tariff.
Underwriting Criteria: 3 Month general waiting period; 12 Month pre-existing condition exclusion; Minimum age of entry 60 and maximum age of entry 80
In-Hospital GAP 500 Boost - Gap 500 covers the client for specialist shortfalls incurred as an in-hospital patient. The benefit is limited to 5 times (500%) the Medical Scheme Tariff.
Underwriting Criteria: 3 Month general waiting period; 12 Month pre-existing condition exclusion; Maximum age of entry 65
In-Hospital GAP 200 - Gap 200 covers the client for specialist shortfalls incurred as an in-hospital patient. The benefit is limited to 2 times (200%) the Medical Scheme Tariff.
Underwriting Criteria: 3 Month general waiting period; 12 Month pre-existing condition exclusion; Maximum age of entry 65
Hospital Excess Cover - This cover allows the client to increase his/her overall annual hospital limit should there be a specific overall annual limit in place on the principle insured's medical scheme.
Underwriting Criteria: 3 Month general waiting period; 12 Month pre-existing condition exclusion; Maximum age of entry 65
Sub-Limitation Cancer Cover - Covers the sub-limitation imposed by the medical scheme for biological drugs, chemotherapy and radiotherapy for the treatment of cancer.
Underwriting Criteria: 3 Month general waiting period; Total exclusion for any pre diagnosed Cancer; Maximum age of entry 65
Sub-Limitation Enhancer - Covers the charges above sub-limitation imposed by the medical scheme for in-hospital admissions.
Underwriting Criteria: 3 Month general waiting period; 12 Month pre existing condition exclusion; Maximum age of entry 65
Essential Procedure Plan - The Essential Procedure Plan covers the insured for procedure related co-payments /deductibles in the event of hospitalization.
Underwriting Criteria: 3 Month general waiting period; 12 Month pre existing condition exclusion; Maximum age of entry 65
Stratum Elite - Gap 500 covers the client for specialist shortfalls incurred as an in-hospital patient. The benefit is limited to 5 times (500%) the Medical Scheme Tariff.
Underwriting Criteria: 3 Month general waiting period; 12 Month pre existing condition exclusion; Maximum age of entry 65
Stratum Comprehensive - Gap 500 covers the client for specialist shortfalls incurred as an in-hospital patient. The benefit is limited to 5 times (500%) the Medical Scheme Tariff.
Underwriting Criteria: 3 Month general waiting period; 12 Month pre existing condition exclusion; Total exclusion for any pre diagnosed Cancer; Maximum age of entry 65
Stratum Benefits operates as a distribution management company within the financial services industry focusing on short term insurance products designed to enhance benefits in the healthcare environment. Stratum benefits (PTY) LTD is committed to providing essential easy to understand insurance products to the public through our panel of intermediaries.